{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,11]],"date-time":"2026-11-11T00:02:54Z","timestamp":1794355374635,"version":"4.9.0"},"reference-count":152,"publisher":"BMJ","issue":"14","funder":[{"name":"Liaoning Province Science and Technology Plan","award":["No. 2023JH2\/20200019"],"award-info":[{"award-number":["No. 2023JH2\/20200019"]}]},{"name":"Outstanding Scientific Fund of Shengjing Hospital"},{"name":"Liaoning Province Livelihood Science and Technology Plan Project","award":["2021JH2\/10300040"],"award-info":[{"award-number":["2021JH2\/10300040"]}]},{"DOI":"10.13039\/501100001809","name":"Natural Science Foundation of China","doi-asserted-by":"crossref","award":["No. 82103914"],"award-info":[{"award-number":["No. 82103914"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100001809","name":"Natural Science Foundation of China","doi-asserted-by":"crossref","award":["No. 82373674"],"award-info":[{"award-number":["No. 82373674"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Scientific Research Project of Education Department of Liaoning Province","award":["No. LJKMZ20221137"],"award-info":[{"award-number":["No. LJKMZ20221137"]}]},{"name":"Youth Scientist Program of the Liaoning Provincial Department of Education","award":["No. LJ212410159082"],"award-info":[{"award-number":["No. LJ212410159082"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Br J Sports Med"],"accepted":{"date-parts":[[2025,2,24]]},"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the comprehensive health impacts of exercise on people with cancer by systematically summarising existing evidence and assessing the strength and reliability of the associations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Umbrella review of meta-analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data source<\/jats:title>\n                    <jats:p>PubMed, Embase, Cochrane and Web of Science databases were searched from their inception to 23 July 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Eligibility criteria for selecting studies<\/jats:title>\n                    <jats:p>Meta-analyses of randomised controlled trials that investigated the associations between exercise and health outcomes among people with cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>This umbrella review identified 485 associations from 80 articles, all evaluated as moderate to high quality using A Measurement Tool to Assess Systematic Reviews (AMSTAR). Two hundred and sixty (53.6%) associations were statistically significant (p&lt;0.05), 81\/485 (16.7%) were supported by high-certainty evidence according to the Grading of Recommendations Assessment, Development, and Evaluation criteria. Compared with usual care or no exercise, moderate- to high-certainty evidence supported the view that exercise significantly mitigates adverse events associated with cancer and its treatments (eg, cardiac toxicity, chemotherapy-induced peripheral neuropathy, cognitive impairment and dyspnoea). Exercise also modulates body composition and biomarkers (eg, insulin, insulin-like growth factor-1, insulin-like growth factor-binding protein-1 and C-reactive protein) in people with cancer, and enhances sleep quality, psychological well-being, physiological functioning and social interaction, while improving overall quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Exercise reduces adverse events and enhances well-being through a range of health outcomes in people with cancer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bjsports-2024-109392","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T20:50:19Z","timestamp":1745959819000},"page":"1010-1020","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":49,"title":["Impact of exercise on health outcomes in 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